Re-Stabilization of an Unstable Lumbosacral Segment in a Patient with Chronic back Pain: A Case Report
Authors: Breen, A., Maynard, C. and Ayer, R.
Journal: EC Orthopaedics
Volume: 12.8
Pages: 94-101
Publisher: ECronicon
Abstract:Background: Spinal instability is poorly understood. This case report describes the re-stabilization of an unstable vertebral motion segment in a patient with chronic low back pain.
Case Presentation: A 50-year-old male presented at his local rheumatology service with chronic lumbo-pelvic pain. MRI revealed mid-lumbar disc degeneration with Modic 1 change at L3-4. An epidural steroid injection was given, followed by antibiotic therapy, but with no effect. A quantitative fluoroscopy (QF) assessment revealed instability at L5-S1 with hypomobility at the degenerate mid-lumbar levels. He received manipulation therapy to the mid-lumbar spine, plus activity modification to minimize lumbo-sacral stresses. This gave 70% improvement which was sustained over 5 years. Follow-up QF and MRI revealed reduction in lumbo-sacral instability, but no change in the L3-4-disc signal.
Conclusion: This case report is the first to demonstrate restabilisation of an unstable vertebral motion segment.
https://eprints.bournemouth.ac.uk/35858/
Source: Manual
Re-Stabilization of an Unstable Lumbosacral Segment in a Patient with Chronic back Pain: A Case Report.
Authors: Breen, A.C., Maynard, C. and Ayer, R.
Journal: EC Orthopaedics
Volume: 12
Issue: 8
Pages: 94-101
Abstract:Background: Spinal instability is poorly understood. This case report describes the re-stabilization of an unstable vertebral motion segment in a patient with chronic low back pain. Case Presentation: A 50-year-old male presented at his local rheumatology service with chronic lumbo-pelvic pain. MRI revealed mid-lumbar disc degeneration with Modic 1 change at L3-4. An epidural steroid injection was given, followed by antibiotic therapy, but with no effect. A quantitative fluoroscopy (QF) assessment revealed instability at L5-S1 with hypomobility at the degenerate mid-lumbar levels. He received manipulation therapy to the mid-lumbar spine, plus activity modification to minimize lumbo-sacral stresses. This gave 70% improvement which was sustained over 5 years. Follow-up QF and MRI revealed reduction in lumbo-sacral instability, but no change in the L3-4-disc signal. Conclusion: This case report is the first to demonstrate restabilisation of an unstable vertebral motion segment.
https://eprints.bournemouth.ac.uk/35858/
https://www.ecronicon.com/ecor/ECOR-12-00839.php
Source: BURO EPrints